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Introduction
Origins of the Movement
Important Terms
Kinds of Errors
Aims of the Institute of Medicines (IOM) Report
Impact on Nursing
Personal Application

Origins of the Movement1

Quality of Healthcare Project initiated in June
1998
Driven by data from the 1980s and 1990s
Imply that 44,000-98,000 Americans die as a result of
medical errors each year

The IOMs committee published the report, To

Err is Human, which provides recommendations
to improve the safety and quality of health care

Definitions1
Safety freedom from accidental injury
Quality Care increase desired outcomes consistent
with current knowledge
Error failure of planned action or use of wrong plan
System interdependent elements interacting to
achieve a common aim

Types of Safety Errors2

Latent policies, procedures, & resources
Active patient contact
Organizational System management, culture,
protocols, & external factors
Technical facility failures

Aims of the Institute of

3
Medicine

To ensure that health care is:

Safe helpful not harmful
Effective scientifically based and beneficial
Patient-Centered respectful and responsive to the patient
Timely reduce delays in care
Efficient avoid waste
Equitable equal care for all

Significance to Nursing Profession

Team Members 4
Coordinators 2
Communicators 2
Reporters 2
Researchers 2

Personal Application5
Committed to life long learning
Committed to safe, patient centered care
Committed to teamwork and collaboration
Committed to reflective practice

Conclusion
Be Patient Centered
Stay Current
Work Together

References
1. Kohn, L. T., Corrigan, J., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a
safer health system [electronic resource]. Washington, D.C.: National Academy Press.
2. Hughes, R. G. (Ed.). (2008) Patient safety and quality: An evidence-based handbook for
nurses [electronic resource]. Rockville (MD): Agency for Healthcare Research and Quality
(US). Retrieved from:
https://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/
nurseshdbk/index.html
3. U.S. Institute of Medicine, Committee on Quality of Health Care in America. (2001).
Crossing the quality chasm: A new health system for the 21st century [electronic
resource]. Washington, D.C.: National Academy Press.
4. Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., & ...
Warren, J. (2007). Article: Quality and safety education for nurses. Nursing Outlook, 55,
122-131. doi:10.1016/j.outlook.2007.02.006
5. Sherwood, G., & Zomorodi, M. (2014). A new mindset for quality and safety: The QSEN
competencies redefine nurses' roles in practice. Nephrology Nursing Journal, 41(1), 15-22.